CMS Price Transparency Data

Blood test, liver function panel

Facility: Mercy St Francis Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $223
Cash Discount Price: $161
vs. Medicare Baseline: 27.29x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Mercy St Francis Hospital is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 27.29x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)

Cash / Self-Pay: $161 (1971%)

Insurance Median: $223 (2729%)

Cash: $161 (1971% of Medicare)

Ins. Median: $223 (2729% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2729% of the Medicare baseline (a markup of 2629%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicare (plans)	$8 - $89	98%
Blue Cross Blue Shield	$8 - $241	98%
Medicaid / KanCare	$8 - $129	98%
UnitedHealthcare	$11 - $236	135%
Qual Choice Contracted [320325]	$68 - $85	832%
Mercy Hospice Okc [20252]	$68 - $85	832%
Mercy Mgd Behavioral Health Contracted [320259]	$68 - $85	832%
Aetna	$68 - $221	832%
Cherokee Nation Health Serv Contracted [320066]	$68 - $85	832%
Cross Timbers Hospice [20098]	$68 - $85	832%
Halo Hcr Inc Hospice Contracted [320432]	$68 - $85	832%
Provider Partners Health Plans Contracted [320450]	$68 - $85	832%
Kindful Hospice Contracted [320434]	$68 - $85	832%
Kindful Hospice [20434]	$68 - $85	832%
Medical Associates Health Contracted [320444]	$68 - $85	832%
Humana	$68 - $223	832%
Cigna	$68 - $236	832%
Pace of the Ozarks Contracted [320518]	$68 - $85	832%
Globalhealth Contracted [320145]	$68 - $85	832%
Indian Health Service Contracted [320198]	$68 - $85	832%
Halo Hcr Inc Hospice [20432]	$68 - $85	832%
Dept of Veteran Affairs Contracted [320106]	$68 - $85	832%
Elara Caring Aspire Hospice [20433]	$68 - $85	832%
Acentra Health Contracted [320527]	$68	832%
Tricare	$84	1028%
Healthscope Contracted [320182]	$85 - $113	1040%
Centivo Contracted [320505]	$112 - $144	1371%
Administrative Payor Contracted [320005]	$112	1371%
Novasys Contracted [320285]	$129	1579%
Home State Health Plan Contracted [320187]	$129	1579%
Ambetter / Centene	$129	1579%
Preferred Health Plan Contracted [320522]	$161	1971%
Healthlink Contracted [320179]	$161 - $236	1971%
Workers Comp [20426]	$198 - $211	2424%
United Medical Resources Contracted [320454]	$223 - $231	2729%
Point C Contracted [320238]	$223 - $236	2729%
Mercy Benefit Admin Contracted [320251]	$223 - $236	2729%
Auxiant Contracted [320462]	$223 - $236	2729%
Medica Contracted [320239]	$234	2864%
Benefit Management Contracted [320052]	$236	2889%
Point C [20238]	$236	2889%
Insurance System Inc Contracted [320465]	$236	2889%
Yuzu Health Contracted [320521]	$236	2889%
Imagine 360 Contracted [320494]	$236	2889%
Show-Me Health Administrators Contracted [320483]	$236	2889%
First Health Contracted [320128]	$236	2889%
Edison Health Solutions Contracted [320502]	$236	2889%
Aither Health Contracted [320449]	$236	2889%
Health Systems Inc Contracted [320174]	$236	2889%
Private Health Care Systems Contracted [320320]	$236	2889%
Ebms Contracted [320493]	$236	2889%
Multiplan Contracted [320270]	$236	2889%
USA Managed Care Org Contracted [320429]	$236	2889%
90 Degree Benefits Contracted [320436]	$236	2889%
Evolutions Health Care Contracted [320124]	$236	2889%
Reflect Health Contracted [320492]	$236	2889%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $161.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy St Francis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.